不孕症患者抑郁焦虑及相关因素的调查分析

A study on depression, anxiety status and correlative factors in infertile patients

关键词:  不孕症  抑郁焦虑  相关影响因素

Key words:  infertility  depression and anxiety  correlative factors

摘要:

[目的] 了解不孕症妇女抑郁焦虑发生率并探讨相关影响因素. [方法] 采用Zung抑郁自评量表（SDS）、焦虑自评量表（SAS）及个人基本情况问卷，对2012年10月-2013年4月天津中医药大学第一附属医院不孕不育门诊就诊的100例符合不孕症诊断标准的患者进行问卷调查，同时随机抽取同期来本院体检正常的育龄期妇女50人作为对照组. [结果] 不孕症患者抑郁焦虑发生率均高于对照组（P<0.05）.影响不孕症患者抑郁焦虑得分的因素有年龄、不孕年限、经济收入、家庭社会关系，文化程度、性生活质量、生育渴望程度等方面（P<0.05）.[结论] 不孕症患者抑郁焦虑发生率高于普通人群，且可能受多种因素影响，因此应该重视心理干预在不孕症患者治疗过程中的作用，以便改善患者心理健康状态，提高妊娠率.

Abstract:

[Objective] To investigate the incidence rates of depression and anxiety in infertility women and analyze the correlative factors. [Methods] One hundred infertility patients in reproductive age diagnosed in the infertility outpatient clinic and 50 age-matched healthy people served as control group were assessed through questionnaires including Zung's SDS (Self-Rating Depression Scale), SAS (Self-Rating Anxiety Scale) and personal basic information in the first affiliated hospital of Tianjin University of Traditional Chinese Medicine from Oct, 2012 to Apr, 2013. [Results] The incidence rates of depression and anxiety in the observed group were higher than that in the control group(P<0.05). Among the oberved group, the differences in age, disease duration, financial situation, the social and family relationship, education background and quality of sexual life the degree of fertility aspiration and so on could influence the score of SDS or SAS(P<0.05). [Conclusion] The incidence rates of depression and anxiety in sterility women are significantly higher than that in the general population, which are affected by many factors. We must, therefore, realize the role of psychological intervention in the process of treatment of infertility to improve their mental heath and increase the pregnancy rate.